Active NPI
Rothrock Drug Company Inc
Doing business as Rothrock Drug Company
- Community/Retail Pharmacy
- Blytheville, AR
National Provider Identifier
1295732717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR00793
- Legal business name
- ROTHROCK DRUG COMPANY INC
- Doing business as
- Rothrock Drug Company
- Practice address
- 700 N 6TH St
Blytheville, AR 72315-2412 - Phone
- (870) 763-4451
- Fax
- (870) 838-1821
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Rothrock, PD
- Title
- PHRM Owner
- Phone
- (870) 763-4451
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR00793 | AR | Primary |
Addresses
Primary practice location
700 N 6TH St
Blytheville, AR 72315-2412
Mailing address
PO Box 424
Blytheville, AR 72316-0424
Phone (870) 763-4451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100451407 | Medicaid | AR | |
| 1992798 | Other | PK |
Other names 1
- ROTHROCK DRUG COMPANY
National Provider Directory
National Provider DirectoryLocations
700 N 6th St
Blytheville, AR 72315
Phone (870) 763-4451
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Blytheville, AR
- NPI 1831924489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449100800000",
"number": "1295732717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723160424",
"telephone_number": "870-763-4451",
"fax_number": "870-838-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N 6TH ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152412",
"telephone_number": "870-763-4451",
"fax_number": "870-838-1821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROTHROCK DRUG COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2015-12-03",
"status": "A",
"authorized_official_last_name": "ROTHROCK",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PHRM OWNER",
"authorized_official_telephone_number": "870-763-4451",
"authorized_official_credential": "PD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR00793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100451407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1992798",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROTHROCK DRUG COMPANY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.